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- Title
Outpatient parents' views on shared-decision-making at an Italian children's hospital.
- Authors
Rosati, Paola; Salvo, Viviana Di; D'Amico, Roberto; Balduzzi, Sara; Giampaolo, Rosaria; Mazziotta, Mercedes Rita Marina; Guerra, Cesare; Menichella, Giovanna; Cosentino, Stefania P; Carlino, Cecilia
- Abstract
Information is lacking on what parents in southern European countries know and how they view clinical shared-decision-making (SDM) for their children. This survey assesses general parental views on SDM and patient-physician SDM relationships in an Italian paediatric outpatients' clinic. In a 3-month cross-sectional survey, we enrolled 458 consecutive native and foreign Italian-speaking parents bringing their children to our public hospital for various reasons. Parents completed an anonymous questionnaire exploring their general views on SDM, including what doctor-patient relationship predominates today, and what approach reassures them most. Multivariate logistic regression analysed outcome data from parental questionnaire answers. Results are reported as percentages, odds ratios (OR) and 95% confidence intervals (CI). Multivariate logistic regression showed that 440 parents (96.1%) appreciated SDM, 245 (53.5%) preferred SDM for choosing children's treatment, 126 (27.5%) answered that SDM is the predominant relationship today, and most parents 275 (60.0%) felt reassured by SDM. More native than foreign Italian-speaking parents preferred SDM (97.0 vs 89.7%, OR = 3.8; 95% CI = 1.4–10.8). Highly-educated parents preferred SDM for choosing their child's therapy (57.9 vs 34.1%, OR = 2.7; 95% CI = 1.6–4.4) and this approach reassured them (64.3 vs 41.2%, OR = 2.5; 95% CI = 1.6–4.1). In conclusion, parents bringing children to an Italian outpatient clinic, especially highly-educated parents, wish to be offered SDM and find it reassuring. These findings should encourage paediatricians working in a challenging multicultural environment to change their physician-centred approach and engage parents in tailored SDM strategies.
- Subjects
ITALY; CHILDREN'S hospitals; CONFIDENCE intervals; PARENTS; PATIENTS; PEDIATRICIANS; PEDIATRICS; PHYSICIAN-patient relations; QUESTIONNAIRES; RESEARCH funding; MULTIPLE regression analysis; EDUCATIONAL attainment; PARENT attitudes; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio
- Publication
Health Promotion International, 2018, Vol 33, Issue 4, p572
- ISSN
0957-4824
- Publication type
Article
- DOI
10.1093/heapro/daw105